WO2014022585A1 - Systems and methods for percutaneous intravascular access for arteriovenous fistula - Google Patents
Systems and methods for percutaneous intravascular access for arteriovenous fistula Download PDFInfo
- Publication number
- WO2014022585A1 WO2014022585A1 PCT/US2013/053070 US2013053070W WO2014022585A1 WO 2014022585 A1 WO2014022585 A1 WO 2014022585A1 US 2013053070 W US2013053070 W US 2013053070W WO 2014022585 A1 WO2014022585 A1 WO 2014022585A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- jaw member
- recited
- elements
- tissue
- disposed
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims description 18
- 206010003226 Arteriovenous fistula Diseases 0.000 title abstract description 17
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 35
- 238000003466 welding Methods 0.000 claims abstract description 4
- 206010016717 Fistula Diseases 0.000 claims description 18
- 230000003890 fistula Effects 0.000 claims description 18
- 239000000463 material Substances 0.000 claims description 8
- 238000003384 imaging method Methods 0.000 claims description 7
- 229920000642 polymer Polymers 0.000 claims description 7
- 230000004913 activation Effects 0.000 claims description 6
- 239000004020 conductor Substances 0.000 claims description 6
- 230000017531 blood circulation Effects 0.000 claims description 5
- 230000007246 mechanism Effects 0.000 claims description 3
- 229910052751 metal Inorganic materials 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 230000003213 activating effect Effects 0.000 claims description 2
- 210000001367 artery Anatomy 0.000 description 19
- 210000003462 vein Anatomy 0.000 description 19
- 230000003872 anastomosis Effects 0.000 description 14
- 239000008280 blood Substances 0.000 description 8
- 210000004369 blood Anatomy 0.000 description 8
- 238000001631 haemodialysis Methods 0.000 description 4
- 230000000322 hemodialysis Effects 0.000 description 4
- 238000000502 dialysis Methods 0.000 description 3
- 210000002435 tendon Anatomy 0.000 description 3
- 238000002604 ultrasonography Methods 0.000 description 3
- 238000012800 visualization Methods 0.000 description 3
- 239000002699 waste material Substances 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 229910052782 aluminium Inorganic materials 0.000 description 2
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 235000015097 nutrients Nutrition 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010053567 Coagulopathies Diseases 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000001647 Renal Insufficiency Diseases 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000000941 bile Anatomy 0.000 description 1
- 210000000013 bile duct Anatomy 0.000 description 1
- 210000001736 capillary Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 230000035602 clotting Effects 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
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- 238000002224 dissection Methods 0.000 description 1
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- 230000004064 dysfunction Effects 0.000 description 1
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- 238000002594 fluoroscopy Methods 0.000 description 1
- 210000000245 forearm Anatomy 0.000 description 1
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- 210000003734 kidney Anatomy 0.000 description 1
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- 238000002355 open surgical procedure Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 210000000626 ureter Anatomy 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
- A61B18/085—Forceps, scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00619—Welding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/146—Scissors
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13824823.2A EP2879753A4 (en) | 2012-08-01 | 2013-07-31 | Systems and methods for percutaneous intravascular access for arteriovenous fistula |
AU2013296428A AU2013296428B2 (en) | 2012-08-01 | 2013-07-31 | Systems and methods for percutaneous intravascular access for arteriovenous fistula |
CA2880253A CA2880253C (en) | 2012-08-01 | 2013-07-31 | Systems and methods for percutaneous intravascular access for arteriovenous fistula |
JP2015525567A JP6634288B2 (en) | 2012-08-01 | 2013-07-31 | Device for extending, dilating or repairing openings in arteriovenous fistulas |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261678240P | 2012-08-01 | 2012-08-01 | |
US61/678,240 | 2012-08-01 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2014022585A1 true WO2014022585A1 (en) | 2014-02-06 |
Family
ID=50026191
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2013/053070 WO2014022585A1 (en) | 2012-08-01 | 2013-07-31 | Systems and methods for percutaneous intravascular access for arteriovenous fistula |
Country Status (6)
Country | Link |
---|---|
US (2) | US20140039478A1 (en) |
EP (1) | EP2879753A4 (en) |
JP (1) | JP6634288B2 (en) |
AU (1) | AU2013296428B2 (en) |
CA (1) | CA2880253C (en) |
WO (1) | WO2014022585A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP4074352A1 (en) | 2021-04-12 | 2022-10-19 | Mallios Consulting | Devices for forming percutaneous vascular anastomosis, in particular percutaneous arteriovenous fistula for hemodialysis |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10292708B1 (en) | 2014-02-13 | 2019-05-21 | Avenu Medical, Inc. | Externally supported anastomosis |
US10772672B2 (en) | 2014-03-06 | 2020-09-15 | Avenu Medical, Inc. | Systems and methods for percutaneous access and formation of arteriovenous fistulas |
CN108366822B (en) | 2015-08-21 | 2021-02-19 | 艾凡诺医疗公司 | System and method for percutaneous arteriovenous fistulization |
EP3624719A4 (en) | 2017-05-17 | 2021-01-27 | Avenu Medical, Inc. | Single catheter electrode tissue cutting system for creating anastomoses |
CN111714189B (en) * | 2020-06-30 | 2022-08-12 | 十堰市太和医院(湖北医药学院附属医院) | Mouth gag for endovascular fistula operation |
Citations (8)
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US4251310A (en) * | 1977-11-25 | 1981-02-17 | Baxter Travenol Laboratories, Inc. | Method for rebonding tubing elements used in needle assemblies |
US6139508A (en) | 1998-08-04 | 2000-10-31 | Endonetics, Inc. | Articulated medical device |
US6394964B1 (en) * | 1998-03-09 | 2002-05-28 | Spectrascience, Inc. | Optical forceps system and method of diagnosing and treating tissue |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US20050143763A1 (en) | 2003-12-29 | 2005-06-30 | Ortiz Mark S. | Device and method for intralumenal anastomosis |
US20090023985A1 (en) | 2007-06-14 | 2009-01-22 | Usgi Medical, Inc. | Endoluminal instrument management system |
US7875029B1 (en) * | 2009-05-04 | 2011-01-25 | Cardica, Inc. | Surgical device switchable between clip application and coagulation modes |
US7892208B2 (en) * | 2006-07-28 | 2011-02-22 | Dsu Medical Corporation | Medical tubing set sheath |
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US4863441A (en) * | 1987-07-17 | 1989-09-05 | Minnesota Mining And Manufacturing Company | Venous return catheter |
US5571136A (en) * | 1994-08-15 | 1996-11-05 | Medical Innovations Corporation | Forceps with guide wire |
US5626608A (en) * | 1996-03-29 | 1997-05-06 | United States Surgical Corporation | Surgical instrument having locking handle |
JPH10277050A (en) * | 1997-04-04 | 1998-10-20 | Olympus Optical Co Ltd | High-frequency treating implement for endscope |
US7892246B2 (en) * | 1999-07-28 | 2011-02-22 | Bioconnect Systems, Inc. | Devices and methods for interconnecting conduits and closing openings in tissue |
DE60138360D1 (en) * | 2000-01-04 | 2009-05-28 | Medtronic Vascular Inc | DEVICE FOR ADJUSTING A CHANNEL BETWEEN ADJUSTING BODY LIQUIDS |
US6361540B1 (en) * | 2000-04-06 | 2002-03-26 | Michael W. L. Gauderer | Apparatus for removal of esophageal coins and similarly shaped objects |
JP3929009B2 (en) * | 2000-06-27 | 2007-06-13 | 株式会社トップ | Forceps with ratchet mechanism |
US20050277956A1 (en) * | 2004-06-14 | 2005-12-15 | Francese Jose L | Clip storage for endoscopic clip applier |
AU2003270566B2 (en) * | 2002-10-04 | 2008-05-29 | Covidien Ag | Electrode assembly for sealing and cutting tissue and method for performing same |
US7618411B2 (en) * | 2002-12-04 | 2009-11-17 | Angiodynamics, Inc. | Variable characteristic venous access catheter shaft |
US7955332B2 (en) * | 2004-10-08 | 2011-06-07 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
US8197472B2 (en) * | 2005-03-25 | 2012-06-12 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
US20080051626A1 (en) * | 2006-08-28 | 2008-02-28 | Olympus Medical Systems Corp. | Fistulectomy method between first duct and second duct, ultrasonic endoscope, catheter with balloon, magnet retaining device, and magnet set |
GB0804688D0 (en) * | 2008-03-13 | 2008-04-16 | Gyrus Group Plc | Surgical instrument |
US20100324446A1 (en) * | 2009-06-18 | 2010-12-23 | Vance Products Incorporated, D/B/A Cook Orolgoical Incorporated | Telescoping Biopsy Device |
US8591459B2 (en) * | 2009-12-21 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Use of biomarkers and therapeutic agents with surgical devices |
AU2011268346B2 (en) * | 2010-06-15 | 2014-07-17 | Avenu Medical, Inc. | Intravascular arterial to venous anastomosis and tissue welding catheter |
US8663222B2 (en) * | 2010-09-07 | 2014-03-04 | Covidien Lp | Dynamic and static bipolar electrical sealing and cutting device |
US9463269B2 (en) * | 2010-09-10 | 2016-10-11 | W. L. Gore & Associates, Inc. | Anastomotic devices and methods |
EP2589405B1 (en) * | 2010-09-23 | 2017-01-25 | Olympus Corporation | Bendable catheter |
US8690902B2 (en) * | 2010-11-04 | 2014-04-08 | Ethicon Endo-Surgery, Inc. | Method of enlarging an anastomosis fistula into a larger anastomosis |
-
2013
- 2013-07-31 EP EP13824823.2A patent/EP2879753A4/en active Pending
- 2013-07-31 AU AU2013296428A patent/AU2013296428B2/en active Active
- 2013-07-31 WO PCT/US2013/053070 patent/WO2014022585A1/en active Application Filing
- 2013-07-31 US US13/956,221 patent/US20140039478A1/en not_active Abandoned
- 2013-07-31 JP JP2015525567A patent/JP6634288B2/en active Active
- 2013-07-31 CA CA2880253A patent/CA2880253C/en active Active
-
2015
- 2015-11-17 US US14/944,090 patent/US10238449B2/en active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4251310A (en) * | 1977-11-25 | 1981-02-17 | Baxter Travenol Laboratories, Inc. | Method for rebonding tubing elements used in needle assemblies |
US6394964B1 (en) * | 1998-03-09 | 2002-05-28 | Spectrascience, Inc. | Optical forceps system and method of diagnosing and treating tissue |
US6139508A (en) | 1998-08-04 | 2000-10-31 | Endonetics, Inc. | Articulated medical device |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
US20050143763A1 (en) | 2003-12-29 | 2005-06-30 | Ortiz Mark S. | Device and method for intralumenal anastomosis |
US7892208B2 (en) * | 2006-07-28 | 2011-02-22 | Dsu Medical Corporation | Medical tubing set sheath |
US20090023985A1 (en) | 2007-06-14 | 2009-01-22 | Usgi Medical, Inc. | Endoluminal instrument management system |
US7875029B1 (en) * | 2009-05-04 | 2011-01-25 | Cardica, Inc. | Surgical device switchable between clip application and coagulation modes |
Non-Patent Citations (1)
Title |
---|
See also references of EP2879753A4 * |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP4074352A1 (en) | 2021-04-12 | 2022-10-19 | Mallios Consulting | Devices for forming percutaneous vascular anastomosis, in particular percutaneous arteriovenous fistula for hemodialysis |
Also Published As
Publication number | Publication date |
---|---|
US20160135873A1 (en) | 2016-05-19 |
CA2880253A1 (en) | 2014-02-06 |
AU2013296428A1 (en) | 2015-02-19 |
US20140039478A1 (en) | 2014-02-06 |
CA2880253C (en) | 2020-07-28 |
JP6634288B2 (en) | 2020-01-22 |
EP2879753A1 (en) | 2015-06-10 |
EP2879753A4 (en) | 2016-05-04 |
JP2015524313A (en) | 2015-08-24 |
US10238449B2 (en) | 2019-03-26 |
AU2013296428B2 (en) | 2017-05-25 |
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